MEDICARE: DENINA HELM MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD062213L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780659177
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENINA HELM MD

Provider Business Mailing Address
First Line	:	101 E OLNEY AVE
Second Line	:	400
City	:	PHILADELPHIA
State	:	PA
Zip	:	19120-2421
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1602 WADSWORTH AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19150
Country	:	US
Telephone Number	:	215-753-9438
Fax Number	:	215-753-9447

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2006
Last Update Date	:	08/22/2008

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Directions to “ DENINA HELM MD” Practice Location

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